CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Mercy Medical Center

Billing Code: 72131 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$212
about 2.0× the $107 Medicare rate · typically $138–$336
modeled estimate · not a bill or quote
What this hospital charges insurers
$212
About the fair price
2.0× Medicare
Medicare pays $107 Fair price $212 This hospital $212 Cash price $3,125 Hospital's list price $6,069

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $32 Priciest $212

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, lower back (lumbar spine) is about $212 (about 2.0× the $107 Medicare rate). Mercy Medical Center charges insurers about $212, or about $3,125 in cash — about the fair price. Located in Merced, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $135 - $245 126%
Blue Cross Blue Shieldmajor $135 - $3,716 126%
Aetnamajor $135 - $1,138 126%
Cignamajor $1,628 - $6,261 1524%
Humanamajor $135 126%
Kaiser Permanentemajor $135 - $6,647 126%
Health Net $135 - $385 126%
Molina $178 167%
+ 9 smaller / regional plans $135 - $178
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 333 Mercy Avenue, Merced, CA 95340
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals